Organization · NPI-2

New Life Direct Care Staffing, INC.

Point of Service · Detroit, MI

NPI number1902348030
StatusActive
Last updated in NPPESNov 7, 2016

Details

NPI
1902348030
Entity type
Organization (NPI-2)
Legal business name
New Life Direct Care Staffing, INC.
Organization subpart
No
Enumeration date
Nov 7, 2016
Last updated
Nov 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of Service––Yes
172V00000X Community Health Worker––

Practice location

20007 Mccormick St
Detroit, MI 48224-1147

Phone 313-224-1863

Mailing address

20007 Mccormick St
Detroit, MI 48224-1147

Phone 313-224-1863

Authorized official

Cecelia Mcdonald
Ceo
3132241863

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